Early Test of an Innovative Child Maltreatment (CM) Prevention Strategy

As part of routine SafeCare delivery, providers assess caregiver scores on structured assessments that are part of the Child Health module. Assessments are conducted at the first and last session of this module and scores are recorded in the NSTRC Provider portal. Parents are presented with various health scenarios and respond with actions they would take during those scenarios. Scores represent the percentage of steps reported correctly across all scenarios.

As part of routine SafeCare delivery, providers assess caregiver scores on structured assessments that are part of the Parent-Child and Parent-Infant Interaction modules. Assessments are conducted at the first and last session of this module and scores are recorded scores in the NSTRC Provider portal. Providers rate parents on the number of interaction skills used during three different interactions with their child, with total scores representing the average percentage of skills used across the three interactions.

As part of routine SafeCare delivery, providers assess caregiver scores on structured assessments that are part of the Home Safety module. Assessments are conducted at the first and last session of this module and scores are recorded in the NSTRC Provider portal. Providers assess three commonly used rooms in the home and count the number of accessible safety hazards across all rooms.

The BCAP is a 33-item caregiver self-report measure that assesses factors related to child abuse potential and underlying factors related to child abuse risk. The BCAP can be completed in less than 5 minutes, is made up of minimally intrusive items, and is written below a fourth grade reading level. It is a valid and reliable tool for assessing parenting risk.

Caregivers will self-report on their interactions with child services during the study period. They will answer questions regarding the number of child welfare referrals received, any child placement changes, and current case status.

The CTS-PC is a 22-item caregiver self-report measure of parenting including neglect, physiological and physical maltreatment of children, and positive disciplinary strategies (e.g., non-violent discipline). Respondents are asked to reflect on their parenting behavior in the past year and rate items on a 7-point scale, with higher scores indicating greater frequency the parenting behavior.

The PSI is a 36-item caregiver self-report scale designed to measure stressors in parenthood. There are three subscales with 12 items each including the dysfunctional interactions subscale, the difficult child subscale, and the parental distress subscale. Caregivers respond on a five-point scale with higher numbers indicating greater parenting stress.

The BSI is a 53-item self-report symptom scale where caregivers will rate how much discomfort the problem presented in the item has caused them in the past seven days on a scale from 0 to 4. The measure includes subscales measuring nine symptoms. The Global Severity Index, a mean of all subscales, was used in this study. Test-retest reliability and internal consistency are very good.

The PHQ-8 is widely used, 8-item screening tool for depression where caregivers will rate 8 symptoms on a four-point descriptive scale from 0 to 3. Criteria validity and internal validity have been established.

The NIDA Quick screen consists of four questions regarding the frequency of which respondents have used illegal drugs, prescription drugs for non-medical reasons, tobacco, or multiple drinks containing alcohol.

The SPS is a 12-item self-report scale designed to measure overall perceived social support for adults.

The PFS assesses five protective factors for child maltreatment including parenting knowledge, nurturing behaviors, and family functioning. Each domain includes four or five items and caregivers respond on a seven-point scale.

The FRS-revised is a 30-item self-report measure of the adequacy of resources in households with children. Items load on seven scales corresponding to income, childcare, communication/employment, intrafamily support, physical shelter, nutrition/protection, health/necessities, and growth/social support.

The AHC HRSN screening tool is a 10-item self-report tool to help identify respondent needs on 5 core domains of housing instability, food insecurity, transportation problems, utility help needs, and interpersonal safety.

The Client Satisfaction Survey is a short rating scale that assesses caregiver satisfaction with SafeCare content, the usefulness of training strategies and target skills, technology used during training, and a general rating of the home visitor. Items are rated on a. 5-point scale. Surveys are submitted by caregivers online following each SafeCare module completed.

The CCCI is a caregiver self-report instrument reflecting their perception of the cultural competency of services. The instrument has a low susceptibility to social desirability bias and good internal consistency and temporal stability and has been used in mental health services utilization research.

The AIM, IAM, and FIM measure is a self-report measure consisting of 15 items (5 items pers scale) that range from "completely disagree" to "completely agree." This measure can be tailored to your specific intervention to gather feedback on its acceptability, appropriateness, and feasibility